Sun’s JAK Inhibitor OK’d for Alopecia Areata

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FDA has approved a Sun Pharmaceutical Industries NDA for Leqselvi (deuruxolitinib) 8 mg tablets for treating adults with severe alopecia areata, a common autoimmune disease in which hair loss is thought to occur due to the collapse of “immune privilege,” according to the company. This collapse leads to the immune system targeting the hair follicles and causing sudden hair loss on the scalp, face and sometimes other areas of the body, it says.

Leqselvi is described as a new, twice-daily oral selective inhibitor of Janus Kinases (JAK) JAK1 and JAK2. The JAK inhibitor is designed to interrupt the pathways thought to contribute to hair loss in severe alopecia areata, Sun says.

Approval is based on data from two randomized, double-blind, placebo-controlled Phase 3 clinical trials, THRIVE-AA1 and THRIVE-AA2, which enrolled a total of 1,220 patients with alopecia areata who had at least 50% scalp hair loss as measured by Severity of Alopecia Tool for more than six months. “The number of patients taking LEQSELVI and achieving a SALT score of less than 20 showed a consistent upward trend with no plateau through 24 weeks,” the company says. “Additionally, up to 25% of patients had almost all of their scalp hair back at 24 weeks (greater than 90% coverage).”

Regarding safety, Sun says Leqselvi may cause serious side effects including serious infections, malignancies, thrombosis, gastrointestinal perforations, and certain laboratory abnormalities. “There also may be an increased risk of mortality and major cardiovascular events,” it says.

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